May-Thurner syndrome

Case contributed by Mohammad Farghali Ali Tosson
Diagnosis almost certain

Presentation

Left lower limb chronic edema.

Patient Data

Age: 17 years
Gender: Female
ct

Well-visualized IVC with average caliber and no intraluminal thrombosis.

Significant chronic compression of the left common iliac vein against the lumbar vertebrae by the overlying right common iliac artery with subsequent pre-compression dilatation.

Case Discussion

This is a case of May-Thurner syndrome, which is a disorder resulting from chronic compression of the left common iliac vein between the overlying right common iliac artery and adjacent lumbar vertebrae. It is usually observed in young women in the 2nd to 4th decades of life.

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